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CH02124M FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC. (Active)
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Main Details
Name
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC.
Subdivision Name
Pediatric/Family Practice Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017746
340B ID
CH02124M
Grant Number
H80CS00065
Additional Details
Current Program Status
Active
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/14/2016
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Family Health Network of CNY, Inc.
Kimberly Marie Osborne, Chief Executive Officer
(607) 753-3797
Primary Contact
Family Health Network of CNY, Inc
AMY M. SKEELE, 340B Analyst/Credentialing Coordinator
(607) 753-3797
Addresses
Street Address
24 Groton Ave
Cortland, NY 13045-2014
Billing Address
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
85 SOUTH WEST STREET
HOMER, NY 13077-1500
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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